NPI | 1912065632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CT 008073) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 008073) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-07-11 |