NPI | 1609895648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AK 1227) |
Additional Taxonomies | 122300000X Dentist (Licence: PA PA DS031431L) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-08 |