NPI | 1013909274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7079) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D7079) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2012-03-12 |