| NPI | 1962715342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 059540) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 59540) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-06-29 |