| NPI | 1912561820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MD D0107488) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 334258) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2026-07-14 |