| NPI | 1467884668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD448698) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME168035) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2024-05-15 |