| NPI | 1104487974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA12359400) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT218309) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-11-13 |