| NPI | 1316267115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03033300) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 25004) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-10-01 |