NPI | 1720788227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 40617) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22D103077700) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2025-08-07 |