| NPI | 1669890414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME139363) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 260141) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2020-01-20 |