| NPI | 1437119146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02258700) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049870) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |