| NPI | 1134329071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 055863) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI0234910) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2012-11-16 |