NPI | 1447337167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014233) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.022431) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-01-26 |