NPI | 1205454725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-10194) |
Additional Taxonomies | 122300000X Dentist (Licence: NE 7991) |
122300000X Dentist (Licence: IA DDS-10194) | |
122300000X Dentist (Licence: TX 36299) | |
122300000X Dentist (Licence: FL 25582) | |
122300000X Dentist (Licence: CA 108663) | |
Enumeration Date | 2020-07-10 |
Last Update Date | 2024-09-04 |