| NPI | 1396140562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME121340) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T4976) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2023-03-20 |