NPI | 1922416494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 30228) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 30228) |
Enumeration Date | 2014-07-29 |
Last Update Date | 2016-09-12 |