| NPI | 1689179228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02928800) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032067) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-06-02 |