| NPI | 1881879385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 13986) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 048952) |
| 122300000X Dentist (Licence: VA 0401412594) | |
| 122300000X Dentist (Licence: DC DEN1000824) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2009-09-17 |