NPI | 1134440217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: TX 29590) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 6176) |
Enumeration Date | 2010-06-12 |
Last Update Date | 2014-07-18 |