| NPI | 1750460309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 051853-1) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 56554) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2010-04-15 |