| NPI | 1538377288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN18381) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 052452-1) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2009-05-06 |