| NPI | 1467697888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 2630600) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14389) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2017-02-24 |