| NPI | 1750583027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02299500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 052506) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-02-05 |