| NPI | 1093094955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0556881) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 55688) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2024-09-17 |