NPI | 1508969734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN5795) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 11756) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2007-07-08 |