| NPI | 1689386872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS045306) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03110800) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2025-07-23 |