| NPI | 1114135076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02168500) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 049248) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-12-01 |