NPI | 1497838288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AL AL4736) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: AL AL 4736) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2015-10-13 |