| NPI | 1639225733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 041431-1) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ D1-017177) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-01-25 |