NPI | 1821346834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056062) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 010753) |
Enumeration Date | 2012-08-22 |
Last Update Date | 2012-08-22 |