| NPI | 1942986823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03051700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS044956) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-07-20 |