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 |