| NPI | 1891180048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME160592) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 60827) |
| 207Y00000X Otolaryngology (Licence: NE 33670) | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2023-03-27 |