NPI | 1437464211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: TX 26220) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02449000) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2020-11-12 |