| NPI | 1932237385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 15289) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401-413682) |
| 122300000X Dentist (Licence: NY 056518-1) | |
| 122300000X Dentist (Licence: PA 039429) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-07-30 |