NPI | 1174254676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 10633) |
Additional Taxonomies | 122300000X Dentist (Licence: SC 10633) |
Enumeration Date | 2022-06-23 |
Last Update Date | 2024-11-08 |