| NPI | 1114448941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 059980) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02670100) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2018-10-03 |