NPI | 1568555829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105022) |
Additional Taxonomies | 122300000X Dentist (Licence: CO 105022) |
Enumeration Date | 2006-10-01 |
Last Update Date | 2014-01-30 |