NPI | 1396839874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D0933) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D12260) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2010-08-16 |