| NPI | 1922447952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY TP654) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2013017876) |
| 207Y00000X Otolaryngology (Licence: FL ME134951) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2022-03-03 |