NPI | 1124505888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10855) |
Additional Taxonomies | 122300000X Dentist (Licence: OH RES.004457) |
Enumeration Date | 2018-07-25 |
Last Update Date | 2022-07-28 |