| NPI | 1073853875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02593000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN20040) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2016-07-19 |