NPI | 1972826378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN24623) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS038143) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2020-02-05 |