| NPI | 1831163278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: NJ MA72976) |
| Additional Taxonomies | 207YX0901X Otolaryngology Otology & Neurotology (Licence: NY 206768) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |