| NPI | 1023472438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 202400328) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME154951) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-06-19 |