| NPI | 1033352174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME166968) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2012-00686) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MD D0075426) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX U0319) | |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2024-08-20 |