| NPI | 1447401641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02376400) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 14825) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2015-10-05 |