NPI | 1730198938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11536) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN5681) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2007-07-08 |