| NPI | 1124349840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50 057668) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02415000) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2015-04-02 |