| NPI | 1295812287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048044) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22di02237500) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-11-25 |