| NPI | 1538356662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02373100) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 009269) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-09-03 |