| NPI | 1891922514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME165322) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2014013937) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2024-08-20 |