| NPI | 1538305081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 31330) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02367200) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 63127) | |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2016-08-09 |