| NPI | 1720473598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS041637) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02593300) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2018-06-19 |