NPI | 1952525008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10569) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 2844) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-09 |