NPI | 1790915635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN18620) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 18620) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2010-10-21 |