NPI | 1649434234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24548) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS-037530) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2011-07-12 |