NPI | 1932496031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN19434) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 19434) |
Enumeration Date | 2011-07-09 |
Last Update Date | 2019-05-27 |