| NPI | 1730555475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02528300) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02528300) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-10-23 |