| NPI | 1396109492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02717500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.024989) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2022-04-26 |