| NPI | 1427726066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 063810) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02862200) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-05-28 |