NPI | 1558695569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 27705) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE 00010840) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2012-06-28 |