NPI | 1073674123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22265) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 22265) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2008-11-04 |