| NPI | 1033467048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 03952) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 037596) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-10-31 |