| NPI | 1366878555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02634800) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MA DN1856066) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2016-10-25 |