NPI | 1992918296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: DE G1-0001137) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS030451L) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |