| NPI | 1992098073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NV 6441) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 056912) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2013-12-02 |