NPI | 1821417262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G100011362) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS040409) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2015-07-08 |