| NPI | 1912561069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OR 223408) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036168789) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2025-08-18 |