NPI | 1972280725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA DDS109235) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02971800) |
Enumeration Date | 2023-07-03 |
Last Update Date | 2024-01-11 |