NPI | 1689806077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN20977) |
Additional Taxonomies | 122300000X Dentist (Licence: FL 522) |
122300000X Dentist (Licence: FL DN20977) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2014-10-23 |