| NPI | 1205925302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02218802) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02218800) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: NY 048738-1) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-09-30 |