| NPI | 1124313358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 307198) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME132698) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-07-21 |