| NPI | 1982979506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 8683136) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 15660) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02558300) | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2016-11-03 |