NPI | 1588741136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN16618) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019025444) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |