| NPI | 1558320671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2009-00984) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME76279) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2009-06-15 |