| NPI | 1851024202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS044425) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02916200) |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2024-03-09 |