NPI | 1124285820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL 19631) |
Additional Taxonomies | 122300000X Dentist (Licence: AR 3701) |
122300000X Dentist (Licence: MD 13532) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2024-09-23 |