| NPI | 1225236573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02356400) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 052478-1) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2009-07-01 |