| NPI | 1790756955 |
|---|---|
| Former Name | CECELIIA CONSTANCE BAUKUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL OS9704) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: FL OS9704) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-06-16 |