| NPI | 1962896977 |
|---|---|
| Former Name | JEANIE SOZANSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S4875) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57.025955) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX S4875) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-12-05 |