| NPI | 1497458459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 07557) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI03068700) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-09-16 |