NPI | 1417024928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401412431) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MD 14204) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2016-04-13 |