NPI | 1851973796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02841900) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 062699) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2022-08-31 |