| NPI | 1891225496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 063358) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN23293) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-06-24 |