NPI | 1780947879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00202521) |
Additional Taxonomies | 122300000X Dentist (Licence: FL Dn19793) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2015-12-22 |