| NPI | 1952554362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS022972L) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ DI17181) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2025-02-27 |