| NPI | 1023438199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA11172500) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 298858-1) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-09-10 |