NPI | 1841890092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02801600) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02801600) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2022-07-22 |