| NPI | 1295886646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 203746) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NJ 25ma07957000) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2008-06-11 |