| NPI | 1962492181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049650) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 8940) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02267701) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02267700) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS038115) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-05-31 |