NPI | 1730242157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE10033) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8441) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2011-07-18 |