NPI | 1235372947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027874) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS 037307) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2009-04-10 |