| NPI | 1669795654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 055308) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02432100) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2023-06-17 |