NPI | 1760712236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NJ 22DI02318200) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02318200) |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-01-06 |