NPI | 1508189689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-2618) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE 60147458) |
Enumeration Date | 2010-03-03 |
Last Update Date | 2016-05-18 |