| NPI | 1053412387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 048684-1) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI02165200) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI02165201) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-06-29 |