NPI | 1992952162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052917-1) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 9600) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2014-01-27 |