NPI | 1184750929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 13385) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401411166) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2021-12-12 |