| NPI | 1922395516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 20A15244) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA 20A15244) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-07-21 |