NPI | 1184771248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DN015111) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 50092) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2016-01-10 |