| NPI | 1629365440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 279154) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NJ 25MA09868100) |
| 207Y00000X Otolaryngology (Licence: IL 125.059831) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2024-10-07 |