| NPI | 1487269916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02812100) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DIO2812100) |
| 122300000X Dentist (Licence: FL DN25096) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2021-06-03 |