| NPI | 1578685632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI 17501) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22di01750100) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2016-02-10 |