| NPI | 1679346340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS044379) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI03002400) |
| 122300000X Dentist (Licence: IL 019.034214) | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |