| NPI | 1144854571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123729) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02898800) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2025-08-26 |