| NPI | 1558586297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 052938-1) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 22DI02331700) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-08-14 |