| NPI | 1972732675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI0281550) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 058944) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS042972) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18742) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-02-22 |