| NPI | 1740338169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 049194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 049589) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-05-09 |