| NPI | 1215112263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049956-01) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22Di02139500) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2022-04-27 |