| NPI | 1336120559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 3210) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 21088) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2024-07-25 |