| NPI | 1508451303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 000149-01) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MD LL879) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2025-01-23 |