NPI | 1053491704 |
---|---|
Other Name | LISA FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ME 28653) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 52525) |
207Y00000X Otolaryngology (Licence: VA 0101222259) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2024-12-04 |