| NPI | 1316444664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 37966) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 22DI02767500) |
| 1223G0001X Dentist General Practice (Licence: NY 060802) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-04-23 |