| NPI | 1306684774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03061000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS044794) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-25 |