| NPI | 1700526951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02947300) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS044488) |
| 122300000X Dentist (Licence: NY 063528) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-12-08 |