| NPI | 1437512704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 56899) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME149293) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2022-08-22 |