NPI | 1639167422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6117) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21520) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2017-04-12 |