| NPI | 1952441453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15211) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 051821-1) |
| 122300000X Dentist (Licence: NY 051821) | |
| 1223G0001X Dentist, General Practice (Licence: NY 051821) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-02-12 |