NPI | 1366576118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 2901017325) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901017325) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2013-05-09 |