| NPI | 1144950940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY DN065116) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN122702) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2026-07-27 |