| NPI | 1922024421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME64176) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME0064176) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA 019320) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-04-12 |