| NPI | 1194004499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 057202) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60691) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-06-15 |