| NPI | 1952373391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02099500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 047817) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2013-07-01 |