| NPI | 1972733178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053159-1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02329300) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-11-30 |