NPI | 1134355274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN27586) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NY 055907) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2023-02-09 |