| NPI | 1013228287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055613) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 11259) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2017-03-10 |