NPI | 1437591765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001294) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 15499) |
Enumeration Date | 2013-07-29 |
Last Update Date | 2015-09-25 |