NPI | 1598193658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AK 1513) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE 60393658) |
Enumeration Date | 2013-10-28 |
Last Update Date | 2013-10-28 |