NPI | 1477873313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 062206) |
Additional Taxonomies | 122300000X Dentist (Licence: MN H278001328617) |
122300000X Dentist (Licence: MN D13022) | |
Enumeration Date | 2010-06-02 |
Last Update Date | 2022-02-01 |