| NPI | 1154050185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02964500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901601384) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-06-30 |