| NPI | 1467848853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 059808) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NJ 22DI02691300) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-11-22 |