NPI | 1467539635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE00006675) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA 6675) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-04-01 |