NPI | 1750649760 |
---|---|
Former Name | JESSICA LYNN WINKLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 288469) |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NY 288469) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2019-10-03 |