| NPI | 1598389678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 1981032) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 13940) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-01-17 |