NPI | 1073640991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV 3083) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV 3083) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-12-16 |