| NPI | 1033385323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 59 000079) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY P58567) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2009-02-01 |