NPI | 1184023772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: MN S127) |
Additional Taxonomies | 122300000X Dentist (Licence: MN R607) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2024-07-11 |