NPI | 1487738290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009599) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 18161) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2010-02-01 |