NPI | 1013043637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL 5969-C) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN012976) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2011-08-17 |