| NPI | 1114178415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 054605) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY P57128) |
| Enumeration Date | 2008-10-05 |
| Last Update Date | 2022-12-02 |