| NPI | 1598261455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME163082) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 66256) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-01-22 |