| NPI | 1518707785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS044847) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03047800) |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2026-01-27 |