NPI | 1710116322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN18748) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DRP756) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2015-03-06 |