| NPI | 1568071751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME150241) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A169356) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2021-08-12 |