| NPI | 1972970556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA11464600) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NJ 25MA11464600) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2026-01-08 |