| NPI | 1659563955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 77775) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NJ 25MA10373000) |
| 207Y00000X Otolaryngology (Licence: MN no license yet) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-05-13 |