NPI | 1669519757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30020728) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 13934) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-01-02 |