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 |