NPI | 1093029571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 15605) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1000914) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2013-11-08 |