NPI | 1609036219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051437) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 051437) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2012-05-21 |