NPI | 1245562966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: DE G10001399) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS038151) |
Enumeration Date | 2010-02-05 |
Last Update Date | 2024-07-26 |