| NPI | 1003960774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049416) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02129801) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02129800) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-07-30 |