| NPI | 1003278128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 059184) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02686000) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2018-08-30 |