NPI | 1073224176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS044364) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 108417) |
Enumeration Date | 2022-12-09 |
Last Update Date | 2023-11-08 |