NPI | 1093367559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS042332) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC DGD.10195) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2022-12-29 |