| NPI | 1851523583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD466867) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NJ 25MA10625200) |
| 207Y00000X Otolaryngology (Licence: PA MT193897) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-01-15 |