| NPI | 1770522377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME149885) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 60291) |
| 207Y00000X Otolaryngology (Licence: WI 50572) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-04-17 |