NPI | 1447468426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IN 12011616A) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OH 30-02-0810) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2012-08-29 |