NPI | 1174951578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2010016997) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 57498) |
122300000X Dentist (Licence: KS 60675) | |
Enumeration Date | 2013-10-22 |
Last Update Date | 2015-03-19 |