NPI | 1023311065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 0000012156) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60019134) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2023-06-05 |