NPI | 1093245243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 04682) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1857893) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2021-12-05 |