| NPI | 1730709320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02871900) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1858754) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2022-08-10 |