NPI | 1578610747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0001142) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS030908L) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-08-27 |