| NPI | 1962608216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI 0234 9000) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 050570-1) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |