NPI | 1518129410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02370701) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02370700) |
1223G0001X Dentist, General Practice (Licence: PA DS037506) | |
1223G0001X Dentist, General Practice (Licence: NJ 22DI02370703) | |
Enumeration Date | 2008-07-01 |
Last Update Date | 2025-03-13 |