NPI | 1053460212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN16361) |
Additional Taxonomies | 122300000X Dentist (Licence: PR 3152) |
122300000X Dentist (Licence: CA 63275) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2021-11-09 |