| NPI | 1124028741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME84167) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ND 13102) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2016-08-09 |