NPI | 1841872322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 062716) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02879900) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-25 |
Last Update Date | 2022-09-29 |