NPI | 1194913152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411921) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401411921) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2015-05-28 |