| NPI | 1184853103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02402900) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02402900) |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2016-04-19 |