NPI | 1073174017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DN016105) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA applied) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2020-07-16 |