NPI | 1235395971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22D102554300) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 055954) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2018-07-24 |