| NPI | 1083380331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02870000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS043324) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-08-23 |