NPI | 1992040760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS042603) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02510000) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2022-09-27 |