| NPI | 1477122828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22D102951200) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 064613) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-09-14 |