| NPI | 1134445901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI02594700) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS038214) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-09-22 |