| NPI | 1992393342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: NY 063237) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02818500) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2024-01-22 |