| NPI | 1679707178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DC MD042952) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME119914) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2022-07-21 |