NPI | 1164785408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6560) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27933) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2014-03-17 |