NPI | 1073061297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02653700) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE60295958) |
1223E0200X Dentist, Endodontics (Licence: FL DN22262) | |
Enumeration Date | 2016-09-16 |
Last Update Date | 2016-09-16 |