NPI | 1336104827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA VA0184) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0184) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2007-07-08 |