NPI | 1083963003 |
---|---|
Former Name | SANA ALI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 6770) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 28296) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2016-07-09 |