| NPI | 1861581399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME102323) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL TRN6684) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-05-23 |