NPI | 1619007929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 041709) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 350219) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2012-07-13 |