NPI | 1932488996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 22344) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 10841) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2016-11-11 |