| NPI | 1861536146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS043950) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02098300) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2023-01-02 |