NPI | 1770707515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 040035) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 040035) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2021-01-06 |