NPI | 1750495149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14799) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20288) |
122300000X Dentist (Licence: TX 13927) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2013-08-15 |