NPI | 1912633868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02900700) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 062855-01) |
Enumeration Date | 2022-07-25 |
Last Update Date | 2024-09-12 |