NPI | 1225196843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011818) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 011818) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2019-04-10 |