NPI | 1538293113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015511) |
Additional Taxonomies | 122300000X Dentist (Licence: MI 2901015511) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2014-05-21 |