NPI | 1033647342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN24077) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 1669) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2022-07-28 |