NPI | 1750342275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1937) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D11537) |
Enumeration Date | 2006-04-01 |
Last Update Date | 2007-07-08 |