NPI | 1093967911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DTP508) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412211) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2008-10-22 |