NPI | 1104963784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 4727) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: WI 4727) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2013-08-19 |