| NPI | 1336876135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 063233) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02907500) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02907500) | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-06-19 |