| NPI | 1811576507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02876900) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CT 13048) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-08-03 |