| NPI | 1275090250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02945400) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 063277) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-12-23 |