| NPI | 1528399177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02603400) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS038142) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2022-06-03 |