NPI | 1134433212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 25768) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 25768) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2010-08-02 |