| NPI | 1912439555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OH 35.148670) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 71739) |
| 207Y00000X Otolaryngology (Licence: OH 35.148670) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MN 71739) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2023-08-25 |