NPI | 1417117854 |
---|---|
Former Name | MARY ANN STRAUB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036170300) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2015018876) |
207Y00000X Otolaryngology (Licence: GA 63964) | |
207Y00000X Otolaryngology (Licence: MO 2015018876) | |
Enumeration Date | 2008-06-10 |
Last Update Date | 2024-06-18 |