| NPI | 1528259777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD441454) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 252541) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-01-15 |