NPI | 1669674313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2014018750) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60490) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2014-07-21 |