NPI | 1689810210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS037698) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OH 30.023355) |
Enumeration Date | 2009-01-03 |
Last Update Date | 2018-05-22 |