| NPI | 1891811451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050367) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN124078) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2026-03-17 |