NPI | 1982038105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 056903) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 22DI02518000) |
Enumeration Date | 2013-08-23 |
Last Update Date | 2013-08-23 |