NPI | 1639308927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D102367300) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 054976) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2011-05-23 |