NPI | 1023215969 |
---|---|
Former Name | MARY THERESA ANN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD450120) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR0059589) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2021-09-14 |