| NPI | 1477607976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 043825) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02242300) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-01-06 |