NPI | 1922505643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD61425046) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD61425046) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2023-09-28 |