| NPI | 1285941245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02422300) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038414) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2015-04-08 |