| NPI | 1760568810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI 01900500) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 04335201) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2025-05-19 |