| NPI | 1548351588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ DI017957) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 4081) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-04-09 |