| NPI | 1346338712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 045323) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22D102072400) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-09-18 |