| NPI | 1437771961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 062050) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02853600) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-07-24 |