NPI | 1265420723 |
---|---|
Former Name | KALPANA SUNDAR DEPASQUALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL 058839) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL OS8839) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2022-02-18 |