NPI | 1801156591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 056643-1) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 056643-1) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-29 |
Last Update Date | 2022-07-21 |