| NPI | 1225293723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA09359300) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD444909) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2019-07-08 |