NPI | 1437598612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 102951) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.024003) |
122300000X Dentist (Licence: FL DN20685) | |
122300000X Dentist (Licence: VA 0401414734) | |
Enumeration Date | 2013-06-20 |
Last Update Date | 2018-11-27 |