| NPI | 1992051429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS039482) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22dr02582) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2025-03-18 |