| NPI | 1902015902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME106709) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA Pending) |
| 207Y00000X Otolaryngology (Licence: MD D68821) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-07-01 |