NPI | 1316181803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 17874) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 051649) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2009-04-28 |