NPI | 1437381142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50-057816) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN18840) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2015-04-17 |