NPI | 1437660149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DL13527) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DL13527) |
Enumeration Date | 2017-10-20 |
Last Update Date | 2018-01-03 |