NPI | 1396078804 |
---|---|
Other Name | SARA OK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 65153) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60107492) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2015-11-17 |