NPI | 1922238815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18692) |
Additional Taxonomies | 122300000X Dentist (Licence: FL Dn 18692) |
Enumeration Date | 2009-07-26 |
Last Update Date | 2011-11-22 |