| NPI | 1194984773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055964) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 10769) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-11-19 |