| NPI | 1730829110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02959700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 063329) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-11-01 |