| NPI | 1639744691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: NJ 22DI02835200) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02835200) |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2024-05-01 |