NPI | 1063820132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 4632) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 9529) |
122300000X Dentist (Licence: KY 9529) | |
Enumeration Date | 2014-08-01 |
Last Update Date | 2022-04-15 |