NPI | 1205375383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: TX 32044) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 32044) |
Enumeration Date | 2017-02-22 |
Last Update Date | 2023-05-08 |