NPI | 1255569026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN014353) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS037859) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2018-09-21 |