NPI | 1134536733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 00203810) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30094) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2020-01-15 |