| NPI | 1144633926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 057957) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 057957) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-06-05 |