NPI | 1225414543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS040580) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS040580) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2019-08-22 |