| NPI | 1811346018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 07270) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02990400) |
| 1223G0001X Dentist, General Practice (Licence: NY 059192-1) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 059192-1) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-06-20 |