NPI | 1104599588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12013693A) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN1859140) |
Enumeration Date | 2021-07-30 |
Last Update Date | 2024-10-03 |