NPI | 1124332887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28945) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1855518) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2024-03-19 |