| NPI | 1528201217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CT 010473) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 054639) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2017-01-06 |