NPI | 1578168555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02799700) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN24576) |
Enumeration Date | 2020-11-30 |
Last Update Date | 2020-11-30 |