NPI | 1891997987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 21587) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 57525) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2009-10-26 |