| NPI | 1578184024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 07120) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02850800) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-03-19 |