| NPI | 1902149933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A160366) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 63479) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-07-10 |