NPI | 1942271861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D8527) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8527) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2016-06-14 |