NPI | 1073997086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D10277) |
Additional Taxonomies | 1223D0001X Dentist Dental Public Health (Licence: OR D10277) |
Enumeration Date | 2015-07-20 |
Last Update Date | 2022-03-21 |