| NPI | 1295944684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031367L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02226200) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-10-22 |