| NPI | 1730467374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02574000) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS038135) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS038135) | |
| 208600000X Surgery (Licence: PA MT200006) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2023-09-19 |