| NPI | 1902098387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: PA MD449266) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME112060) |
| 207Y00000X Otolaryngology (Licence: MN 20183) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-08-20 |