| NPI | 1215005699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 297640-1) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD428037) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-08-15 |