NPI | 1043539570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02744500) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1001330) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2024-04-05 |