NPI | 1174045066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0001420) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS041445) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2018-07-26 |