NPI | 1184031924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20606) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 9922) |
1223G0001X Dentist, General Practice (Licence: KY 9572) | |
Enumeration Date | 2014-07-14 |
Last Update Date | 2022-06-07 |