| NPI | 1457643553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NJ 22DI02491307) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 059187) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 290429) | |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2022-07-21 |