NPI | 1437439163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 60798) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27667) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2012-02-09 |