| NPI | 1427157940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053232-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 5653015) |
| 1223G0001X Dentist, General Practice (Licence: NY 053232) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-05-04 |