NPI | 1932361516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 08560) |
Additional Taxonomies | 122300000X Dentist (Licence: IA 08560) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2015-01-21 |