| NPI | 1063512333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ DI17888) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 043598-1) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-07-19 |