NPI | 1750616389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02406100) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037667) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2009-10-15 |