| NPI | 1801275946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02767300) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NC NC10725) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2019-07-17 |