NPI | 1538355359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN00011243) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 036906) |
1223G0001X Dentist, General Practice (Licence: NJ DI15952) | |
1223G0001X Dentist, General Practice (Licence: OH 30-01-17599) | |
1223G0001X Dentist, General Practice (Licence: VA 0401007996) | |
Enumeration Date | 2007-09-16 |
Last Update Date | 2007-09-19 |