| NPI | 1114313582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA11253600) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 73504-20) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2021-11-17 |