NPI | 1275101099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN2000120) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 18569) |
1223G0001X Dentist, General Practice (Licence: NJ 22DR03628) | |
Enumeration Date | 2021-06-16 |
Last Update Date | 2025-09-16 |