NPI | 1134796204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 13023) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9924) |
Enumeration Date | 2021-06-08 |
Last Update Date | 2024-08-20 |