| NPI | 1508643909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401418672) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02997500) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2025-10-21 |