| NPI | 1912117821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02270800) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ 22DI02270800) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-12 |