| NPI | 1295849586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 047390) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 0473901) |
| 122300000X Dentist (Licence: NY 048570) | |
| 122300000X Dentist (Licence: NY 0467872) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-03-25 |