| NPI | 1447376934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ D102156000) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22D102156000) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-02-23 |