NPI | 1164498986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL HAD127) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR D2584) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2024-01-23 |