| NPI | 1457160848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03066200) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 064472) |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |