NPI | 1013074020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 7419) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7419) |
204E00000X Oral & Maxillofacial Surgery (Licence: NC 7419) | |
207QS1201X Family Medicine, Sleep Medicine (Licence: NC 7419) | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2025-05-08 |