| NPI | 1376742619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 9667) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI23492) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-04-25 |