NPI | 1457479818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8450) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 8450) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2013-10-23 |