| NPI | 1457983157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ 07668) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02873600) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS044664) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D14480) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: MN 77538) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN25815) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2026-07-02 |