NPI | 1154368462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G8-CH00004) |
Additional Taxonomies | 122300000X Dentist (Licence: DE G3-0000393) |
122300000X Dentist (Licence: NY 0456551) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2023-03-22 |