NPI | 1477616720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 7539) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: OR D7539) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2012-03-15 |