| NPI | 1700273224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 058796-1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 8677) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 12733) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02891200) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-06-20 |