NPI | 1184242364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 38945) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013440A) |
Enumeration Date | 2020-07-14 |
Last Update Date | 2023-05-18 |