| NPI | 1912601642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02971400) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN27857) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-07-31 |