| NPI | 1699158691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 06799) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02738600) |
| 122300000X Dentist (Licence: NY 058493) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-01-11 |