NPI | 1184835985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: FL DN15480) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR D2303) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-02-20 |