NPI | 1417052887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8339) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010957A) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2008-10-22 |