| NPI | 1730742867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02934500) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 6960) |
| 122300000X Dentist (Licence: NJ 22DI02934500) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-11-06 |