| NPI | 1295924736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS037335) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02371000) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2024-05-13 |