| NPI | 1144479866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055689) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY P64177) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 010000) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2015-03-14 |