| NPI | 1841239423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NJ 25MA07459600) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NJ 25MA07459600) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-01-23 |