| 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 |