| NPI | 1720625528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02779700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI027797) |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2021-07-22 |