| NPI | 1477083814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: FL ME170056) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2023010298) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-09-24 |