NPI | 1134251127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-023292) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027124) |
1223G0001X Dentist, General Practice (Licence: NM DD2947) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2013-12-20 |