NPI | 1063147437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.026956) |
Additional Taxonomies | 122300000X Dentist (Licence: WI 600001315) |
Enumeration Date | 2022-07-20 |
Last Update Date | 2024-10-03 |