| NPI | 1841341732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS031579L) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ DI02281600) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-12-11 |