NPI | 1922492818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 89046) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD469574) |
Enumeration Date | 2015-03-27 |
Last Update Date | 2021-07-23 |