| NPI | 1679259683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03123600) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS045275) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-09-18 |