NPI | 1154496180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8107) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6574) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2016-08-12 |