NPI | 1043457427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: AZ D07592) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ 7592) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2021-09-03 |