| NPI | 1528640901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 18343) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 22DI02843200) |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2023-12-28 |