| NPI | 1619473089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 17376) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02758000) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-09-10 |