NPI | 1437327087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 27065) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS037478) |
Enumeration Date | 2008-02-18 |
Last Update Date | 2011-07-01 |