| NPI | 1205515293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI03090100) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 064951) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-08-15 |