NPI | 1447471461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20874) |
Additional Taxonomies | 122300000X Dentist (Licence: NV 7721) |
1223G0001X Dentist, General Practice (Licence: MD 17782) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2024-11-05 |