| NPI | 1467640771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME128854) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 026194) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: LA MD.026194) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2022-10-06 |