| NPI | 1073689725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02279400) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS036359) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-01-02 |