NPI | 1144537424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9135) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE60175861) |
122300000X Dentist (Licence: KY 9135) | |
Enumeration Date | 2010-09-08 |
Last Update Date | 2016-10-18 |