| NPI | 1174917363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02622700) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CT 010986) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-06-06 |