| NPI | 1841346046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 043217) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 18359) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2025-04-09 |