| NPI | 1134824337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 13975) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03025800) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2026-02-26 |