NPI | 1144508441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN14950) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 60604) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2015-03-23 |