NPI | 1639855653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 064981) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI03086200) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2025-09-11 |