NPI | 1467788240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042746) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 10775) |
1223G0001X Dentist, General Practice (Licence: NJ 22DI01675700) | |
Enumeration Date | 2009-10-28 |
Last Update Date | 2012-03-30 |