| NPI | 1285300418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02860600) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CT 13222) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |