| NPI | 1184018061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 06695) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02635100) |
| 122300000X Dentist (Licence: NY 059705) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2025-04-23 |