| NPI | 1851461115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9388) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 033927) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-05-22 |