| NPI | 1306126396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21837) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02478701) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02478700) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2020-05-31 |