| NPI | 1669204301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 065478) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 3598) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI031374000) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2026-08-06 |