| NPI | 1346314184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI101796600) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI011796600) |
| 122300000X Dentist (Licence: FL DN12622) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-10-20 |