NPI | 1134562143 |
---|---|
Former Name | CHRISTEN JANE LENNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NJ 25MA10605400) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2019-07-24 |