| NPI | 1629579735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02794107) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 062120) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G3-0010514) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2024-11-22 |