NPI | 1689179228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02928800) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019032067) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2023-06-02 |