NPI | 1669527222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 11576) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 5578) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-07-08 |