| NPI | 1962820993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A168180) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A168180) |
| 207Y00000X Otolaryngology (Licence: OH 35.135926) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-10-14 |