| NPI | 1144224502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA06061200) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA060612) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-04-11 |