| NPI | 1982635132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301093383) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2022025333) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 4301093383) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-07-19 |