NPI | 1417213257 |
---|---|
Former Name | JULIA LYNN FRISENDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 89446) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036145635) |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036.145635) | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2024-03-30 |