| NPI | 1417012071 |
|---|---|
| Former Name | ELISE C JAECKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 22545) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NE 22545) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-02-20 |