NPI | 1669632824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60344) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028201) |
1223G0001X Dentist, General Practice (Licence: NY 054445-1) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2012-03-16 |