| NPI | 1134378524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02394700) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 053507) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 053501) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-01-23 |