| NPI | 1881997286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D102466501) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038561) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2022-07-21 |