| NPI | 1609095918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME155641) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 252320) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-06-23 |