NPI | 1013113984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D102367505) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02367502) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2022-07-06 |