NPI | 1871696484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 0021616) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 21616) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2018-04-09 |