| NPI | 1659057180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03076100) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 065041) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2026-06-16 |