| NPI | 1437324852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D102370500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 054024) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2012-03-19 |