NPI | 1184871840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02201800) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02201802) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2010-01-11 |