| NPI | 1093236259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22Dl02711400) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA D11272300) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-07-26 |