NPI | 1225486814 |
---|---|
Former Name | EMAN OUABIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NH 04270) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN1857222) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2021-08-04 |