| NPI | 1326509431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02881900) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 062204-01) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-03-27 |