| NPI | 1932307188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: UT 54160868905) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: KY TP379) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: OH 35089561) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CO 45482) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-05-03 |