NPI | 1689909376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ d-7979) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60103998) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2010-06-07 |