| NPI | 1558102947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS045330) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03035100) |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2025-10-14 |