Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 6581-15 | WI |
N | 1223D0001X | Dental Public Health | 6581-015 | WI |
NPI | 1306150990 |
---|---|
Provider Name | Ms. Nita Singh |
First Address | Milwaukee, WI 53213-4145 |
Second Address | Milwaukee, WI 53213-4145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2010 |
Last Update Date | 15/03/2013 |