| NPI | 1548479199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 2065300) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 047784-1) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-02-02 |