| NPI | 1104083161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 9778) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02261300) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-12-20 |