| NPI | 1134375348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02380400) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02380402) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2012-04-19 |