NPI | 1780799908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 4853) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 4853) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2011-04-27 |