| NPI | 1093073637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 056838-1) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02671600) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2018-08-02 |