NPI | 1720187636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D07172) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV LL-340-13) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2019-05-01 |