| NPI | 1164432324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7741) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 045082) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02227600) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |