| NPI | 1639582273 |
|---|---|
| Former Name | HEIDI ELAINE SKOOG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 65168) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2014016497) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-07-08 |