| NPI | 1497959092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME 104723) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP2-0023515) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-03-09 |