| NPI | 1962727701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DE C1-0012860) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NJ 25MA29898200) |
| 207Y00000X Otolaryngology (Licence: PA MD447114) | |
| 207Y00000X Otolaryngology (Licence: PA MT196963) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2020-06-01 |