NPI | 1063689073 |
---|---|
Former Name | EMILY FRANCES EILERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02389200) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS037430) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2012-06-26 |