NPI | 1457487308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: PR 2674) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN20312) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2017-11-03 |