NPI | 1346464179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 2901019226) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 22140) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2008-12-09 |