| NPI | 1588141055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN23382) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ DI02720100) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2025-07-15 |