NPI | 1396897237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 13702) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 13702) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2018-11-09 |