NPI | 1922237114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NV 6026) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 6026) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2018-10-17 |