| NPI | 1578342317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 13917) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02994100) |
| 1223G0001X Dentist, General Practice (Licence: FL DN2857) | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |