| NPI | 1497043186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME133257) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.136989) |
| 207Y00000X Otolaryngology (Licence: TN MD53974) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-02-28 |