NPI | 1699039867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN20011) |
Additional Taxonomies | 122300000X Dentist (Licence: FL ResidencyPermit:1053) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2016-09-14 |