NPI | 1699080291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00010085) |
Additional Taxonomies | 122300000X Dentist (Licence: ME DEN4152) |
Enumeration Date | 2010-08-09 |
Last Update Date | 2016-08-11 |