NPI | 1174907224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 125Q00000X Oral Medicine (Licence: PA RFD000056) |
Additional Taxonomies | 122300000X Dentist (Licence: PA RFD000056) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2023-03-24 |