NPI | 1558471367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16434) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 2031) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2016-02-22 |