| NPI | 1689718751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 044437-01) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD 11698) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-06-21 |