NPI | 1457453607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN18.470) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 18281) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2010-09-21 |