| NPI | 1265642870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D102478300) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 052671) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-09-01 |