NPI | 1184282253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NV 7333) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D010363) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2022-11-14 |