| NPI | 1013113984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D102367505) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02367502) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-07-06 |