NPI | 1225393838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS039233) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS039233) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2021-09-01 |