NPI | 1093326670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2020020132) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 36382) |
Enumeration Date | 2020-08-16 |
Last Update Date | 2022-03-26 |