| NPI | 1598511529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS045012) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03069100) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2025-04-25 |