| NPI | 1104896117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: NJ DI 17698) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: NJ 22DI01769800) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-11-26 |