NPI | 1457792368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856679) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN 20608) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2015-09-15 |