NPI | 1104896117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ DI 17698) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI01769800) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2019-11-26 |