| NPI | 1255570552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT CT11528) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 23952) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2021-02-09 |