| NPI | 1760174767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03041600) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN27891) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-09-20 |