NPI | 1902050594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NM DD3080) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12011709A) |
Enumeration Date | 2008-11-09 |
Last Update Date | 2015-05-13 |