NPI | 1558421107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24464) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 24464) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2021-06-03 |