| NPI | 1598128027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME154075) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.140833) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-07-14 |