| NPI | 1619081056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 220101960700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 19607) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-05-14 |