NPI | 1366453292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: DE G10001072) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 09492) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2007-07-08 |