NPI | 1356563258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 1782421) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 178242-01) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-12-08 |