| NPI | 1235815424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI03107300) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00205711) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-07-29 |