NPI | 1053853002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DN014956) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014956) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2024-07-25 |