NPI | 1730598913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50057499) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 50057499) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2023-02-27 |