| NPI | 1912633868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02900700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 062855-01) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2024-09-12 |