NPI | 1922181908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6059) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 6059) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2015-01-14 |