| NPI | 1073181939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02844600) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS043167) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-10-25 |