Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MT204475 | PA |
Y | 207YP0228X | Pediatric Otolaryngology | MT204475 | PA |
NPI | 1376980961 |
---|---|
Provider Name | Alanna Windsor |
First Address | Philadelphia, PA 19123-2808 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2013 |
Last Update Date | 19/06/2018 |