NPI | 1831644806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 32324) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 32324) |
Enumeration Date | 2016-08-19 |
Last Update Date | 2017-01-21 |