| NPI | 1194374843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME166929) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME166929) |
| 207Y00000X Otolaryngology (Licence: TX 693062) | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-04-29 |