| NPI | 1932600897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 060385-01) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 00203972) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2023-03-22 |