| NPI | 1255568846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301507386) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA09537800) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2022-10-11 |