| NPI | 1215286992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI02501000) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ DI02501000) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 056868) | |
| 122300000X Dentist (Licence: NY 056868) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2015-04-27 |