| NPI | 1558500421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NJ 22DI02387100) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02387100) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2023-04-11 |