NPI | 1891144911 |
---|---|
Former Name | JENNIFER LYNN HARB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME148287) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 267039) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2024-09-27 |