| NPI | 1104226638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 059216) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 63924) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-11-28 |