NPI | 1740741040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 061176-01) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02778600) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2023-11-10 |