| NPI | 1518258243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02599100) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 057794) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2015-12-24 |