| NPI | 1750173944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03091500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN30324) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2026-02-15 |