NPI | 1730306085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NJ MA08846900) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT183607) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2010-12-04 |