| NPI | 1740499797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02098000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 20045) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-06-15 |