NPI | 1134611411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61514) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2018017817) |
Enumeration Date | 2018-06-03 |
Last Update Date | 2020-10-15 |