| NPI | 1851351407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME138387) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101225426) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-09-09 |