NPI | 1699337139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02801300) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DR03426) |
Enumeration Date | 2019-07-04 |
Last Update Date | 2020-08-30 |