| NPI | 1235446931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: NJ DI24531) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ DI24531) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2019-10-21 |