NPI | 1003042748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410611) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 13049) |
Enumeration Date | 2009-06-09 |
Last Update Date | 2009-06-09 |