| 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 |