| NPI | 1720321342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NE 31669) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME135764) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2019-06-23 |