NPI | 1164156238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ID D-5572) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00205273) |
Enumeration Date | 2022-07-13 |
Last Update Date | 2023-12-14 |