| NPI | 1326291410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ DI23883) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS037545) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |