| NPI | 1841349172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 16526) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO den.00202547) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-10-21 |