| NPI | 1720607559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 062015) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN28663) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2025-09-12 |