| NPI | 1437278991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA ds037327) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 052168-1) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-02-26 |