| NPI | 1821284845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN23952) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 22DI02190300) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2020-12-02 |