NPI | 1447273487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NJ 25MA09577900) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NJ 25MA09577900) |
207Y00000X Otolaryngology (Licence: NY 276725) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2019-01-23 |