NPI | 1285841742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 015182) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 015182) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2021-11-10 |