| NPI | 1598403339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 062587) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22D102896800) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-04-07 |