NPI | 1831400233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415279) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038243) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2016-09-26 |