NPI | 1508956483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26228) |
Additional Taxonomies | 122300000X Dentist (Licence: NH 3409) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-12-08 |