NPI | 1316322092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21743) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN21743) |
1223G0001X Dentist, General Practice (Licence: NJ 22DI02612400) | |
Enumeration Date | 2015-07-23 |
Last Update Date | 2018-07-10 |