| NPI | 1780914622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02908800) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037054) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2024-08-28 |