NPI | 1518033380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16744) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ di020627) |
Enumeration Date | 2006-11-25 |
Last Update Date | 2019-04-17 |