NPI | 1306998893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 10214) |
Additional Taxonomies | 122300000X Dentist (Licence: OK 5575) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2019-01-11 |