| NPI | 1124143482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA08861300) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: DE C1-0009167) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-12-03 |