NPI | 1447362025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 9854) |
Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: FL 9854) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |