NPI | 1861757940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15128) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401413669) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2012-07-12 |