| NPI | 1881839041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: UT 8598444-1205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 264512-1) |
| 207Y00000X Otolaryngology (Licence: LA 325607) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2022-04-07 |