NPI | 1134587033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN123377) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 04576) |
Enumeration Date | 2016-02-05 |
Last Update Date | 2024-06-26 |