| NPI | 1609011998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009951) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 009951) |
| 122300000X Dentist (Licence: NJ 22D102391800) | |
| 1223D0001X Dentist, Dental Public Health (Licence: CT 009951) | |
| 1223G0001X Dentist, General Practice (Licence: MD 14767) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2020-12-03 |