| NPI | 1477786499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: OR D9951) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D9951) |
| 122300000X Dentist (Licence: NY 053820) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2023-10-23 |