NPI | 1164037800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DN016128) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN016128-T) |
Enumeration Date | 2020-09-10 |
Last Update Date | 2022-08-23 |