| NPI | 1407881113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI02368000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037676) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-03-18 |