| 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 |