NPI | 1285925305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: DE C10012291) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NJ 25MA10224100) |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MD460861) | |
Enumeration Date | 2011-04-23 |
Last Update Date | 2018-03-17 |