| NPI | 1285844811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: PA DS036536) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02339000) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-06-03 |