| NPI | 1962414011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G63152) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR G63152) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA G63152) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-07-10 |