NPI | 1790875854 |
---|---|
Former Name | MIRLINA E HILAIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 14144) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1000766) |
1223G0001X Dentist, General Practice (Licence: MA 21149) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2021-02-01 |