| NPI | 1255833224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 062936-01) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN23928) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2023-05-05 |