| NPI | 1538252879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 036007) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22D101333100) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2007-07-08 |