NPI | 1891947347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 055407) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY P63953) |
1223G0001X Dentist, General Practice (Licence: TX 24368) | |
Enumeration Date | 2008-10-15 |
Last Update Date | 2013-01-15 |