NPI | 1083920490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08760) |
Additional Taxonomies | 122300000X Dentist (Licence: IA 08760) |
Enumeration Date | 2010-08-23 |
Last Update Date | 2010-08-23 |