| NPI | 1477887750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038112) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DIO2421300) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2013-02-11 |