| NPI | 1275812810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22d102564800) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 055575) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2017-01-17 |