| NPI | 1780902775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MB09424800) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA OS015443) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2019-01-17 |