NPI | 1497923940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02122002) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 21DI02207900) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |