| NPI | 1598923971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD440377) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 240283) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2011-06-06 |