| NPI | 1093722886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 21227) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 048974) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 048974) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-13 |