| NPI | 1518129410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02370701) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02370700) |
| 1223G0001X Dentist, General Practice (Licence: PA DS037506) | |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02370703) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2025-03-13 |