| NPI | 1538890199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 07220) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02874001) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-11-14 |