| NPI | 1881134658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME152378) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 31020) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2022-09-02 |