| NPI | 1922164870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: DE C10010166) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT182784) |
| 207Y00000X Otolaryngology (Licence: NJ 25MA08390300) | |
| 207Y00000X Otolaryngology (Licence: MA 242526) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MD428366) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NJ MA08390300) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-12-07 |