NPI | 1518140144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 50503) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 54845) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2015-06-23 |