NPI | 1144854571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123729) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02898800) |
Enumeration Date | 2020-02-25 |
Last Update Date | 2025-08-26 |