NPI | 1528315439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28769) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 010823) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2018-02-13 |