| NPI | 1114011707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: FL ME83108) |
| Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: FL ME83103) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-02-09 |