NPI | 1972830289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 23607) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23607) |
Enumeration Date | 2009-11-06 |
Last Update Date | 2015-12-07 |