| NPI | 1144423153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02040200) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 045113) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-09 |