| NPI | 1962571224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI021154) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ DI2115400) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-02-05 |