NPI | 1275871733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 056732-1) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02521700) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-09-02 |