NPI | 1720381338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 26191) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 26191) |
Enumeration Date | 2010-12-21 |
Last Update Date | 2012-05-23 |