NPI | 1134744477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24948) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2020015889) |
Enumeration Date | 2020-06-12 |
Last Update Date | 2024-03-20 |