NPI | 1306282355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NC 9491) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 8953) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2013-12-28 |