NPI | 1063512333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ DI17888) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 043598-1) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2012-07-19 |