| NPI | 1750378170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME0070987) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: FL ME070987) |
| 207Y00000X Otolaryngology (Licence: FL ME070987) | |
| 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: FL ME070987) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2019-05-03 |