| NPI | 1437726387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 063147-01) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02840400) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-12-21 |