| NPI | 1922015288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI01527500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 039397) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-03-07 |