NPI | 1760660674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22348) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 55495) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2014-03-19 |