| NPI | 1851971832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 57.250656) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: GA 111302) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2026-05-21 |