| NPI | 1295997161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02463700) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 055836) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2014-07-22 |