NPI | 1033906383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 11118) |
Additional Taxonomies | 122300000X Dentist (Licence: SC 11050) |
Enumeration Date | 2025-04-21 |
Last Update Date | 2025-08-18 |