NPI | 1568620730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KS 61125) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 2287) |
Enumeration Date | 2008-05-23 |
Last Update Date | 2018-07-30 |