NPI | 1285828327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 054313-1) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02357400) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2013-10-08 |