NPI | 1144361106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12637) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 08407) |
Enumeration Date | 2007-02-10 |
Last Update Date | 2014-03-05 |