| NPI | 1558713008 |
|---|---|
| Former Name | HEATHER OSBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 265694) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CT 56577) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-05-29 |