NPI | 1023109113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 7507) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 17770) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2024-05-29 |