NPI | 1609668672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS045195) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI03091400) |
Enumeration Date | 2025-05-19 |
Last Update Date | 2025-06-16 |