NPI | 1134737505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE61474642) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN1858758) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2023-10-18 |