| NPI | 1730370230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053334) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02390100) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-03-27 |