| NPI | 1871599332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 31659) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME97014) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2016-08-07 |