| NPI | 1215957014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 051863) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI15948) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-05-12 |