| NPI | 1295872349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 012277) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ NJ 012277) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-12-12 |