| NPI | 1184295602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02848000) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 061892) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-09-23 |