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 |