| NPI | 1366405664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22950) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 054331) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2011-03-09 |