| NPI | 1669161030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME173098) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME173098) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-06-13 |