| NPI | 1235790130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME181690) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2019020210) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2026-05-18 |