| NPI | 1326127531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045066) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 19039) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |