NPI | 1598862518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18166) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 3179) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |