NPI | 1972732675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI0281550) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 058944) |
1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS042972) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18742) | |
Enumeration Date | 2009-07-02 |
Last Update Date | 2023-02-22 |