NPI | 1245376409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-89) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401411483) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2008-10-15 |