| NPI | 1396056693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02467600) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS103667) |
| 122300000X Dentist (Licence: NY 50 055667) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2024-09-18 |