| NPI | 1699289751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901600759) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02750700) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2021-03-09 |