NPI | 1982693230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042510-1) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 042510) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2010-07-22 |