NPI | 1942357686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D8774) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D8774) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-06-26 |