| NPI | 1083810493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME109866) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA Mt188403) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2022-06-01 |