NPI | 1295839645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 16190) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2520) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2016-01-06 |