| NPI | 1023215654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DIO2350000) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN28829) |
| 122300000X Dentist (Licence: NJ 22DI02350000) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-11-14 |