NPI | 1164040424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS042797) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02935600) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2024-08-24 |