NPI | 1154553618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00205253) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.029696) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2023-04-16 |