NPI | 1881000990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN1409) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN1409) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2014-07-09 |