| NPI | 1518642297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02979200) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN28871) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-03-26 |