| NPI | 1821127580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02237100) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 050892) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |