| NPI | 1932266814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ DI20373) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NJ 5128) |
| 1223P0700X Dentist, Prosthodontics (Licence: NJ 20373) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-11-16 |