| NPI | 1649774001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA12209000) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: NJ 25MA12209000) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-05-08 |