| NPI | 1538693106 |
|---|---|
| Former Name | ERIN MARIE MAMUYAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX U3926) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2022-01636) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-06-28 |