| NPI | 1083039234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 058745) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02619400) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2017-03-06 |