NPI | 1407945876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 28653) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D7681) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2025-08-15 |