| NPI | 1396974804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401414367) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 2464300) |
| 1223G0001X Dentist, General Practice (Licence: FL DN18771) | |
| 1223G0001X Dentist, General Practice (Licence: NY 055457) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2019-07-01 |