NPI | 1205925302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02218802) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02218800) |
1223P0221X Dentist, Pediatric Dentistry (Licence: NY 048738-1) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-09-30 |