| NPI | 1235786385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PA DS041981) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS041981) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02728600) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2022-06-28 |